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Right Care Programme in West Essex
Presentation to the West Essex CCG Board
July 2016
Presented by Dr Angus Henderson and Chloe Atkinson
What is Right Care?
1. Helps health economies find where they have
low value healthcare.
2. Helps them replace that with high value
(optimal) healthcare.
• All CCG’s will be required to deliver service transformation
through this methodology from April 2017.
Value
We need as much as high value care and
as little low value care as possible.
OBJECTIVE - Maximise Value (individual & population)
West Essex Right Care Programme
• In March 2016 the West Essex Professional
Leaders Group agreed the priorities for
2016/2017 as Respiratory, Musculoskeletal and
Cardiovascular.
• Respiratory began in April 2016.
• Musculoskeletal began in June 2016.
• Cardiovascular due to begin in September 2016.
West Essex Respiratory Programme
Commissioning for Data Pack (available online) showed
areas to improve outcome and value within Respiratory
care as:
• Smoking Cessation
• Medicine Optimisation
• Early Identification and diagnosis
• Support following diagnosis
• Crisis Prevention
• Crisis Management
• Length of Hospital Stay for patients
Who is involved?
• West Essex Core Right Care Team
– Data analysis, project oversight
• Respiratory Expert Advisory Group
– Clinical experts across West Essex system, oversight of
programme
• Breathe Easy
– Form part of Expert Advisory Group, provide patient
and carer experience
• Design Phase
– Front line staff, patients, managers coming together to
design different ways of working.
Designing the Optimum Pathway
On the 2nd and 9th June over 60 front line
staff, patients and managers cam together
to design optimum pathways of care in the
chosen areas.
Next Steps for Respiratory Programme
• Proposed changes between now and April 2017
include:
– Introduction of a Care Plan for patients to hold and
accessible by all clinicians
– All patients stratified by severity of disease to ensure
appropriate support is identified and accessed
– West Essex system team overseeing all patients with
medium and high severity ratings
– Out of Hours advice and guidance line for patients and
clinicians
Next Steps for Musculoskeletal Programme
The MSK Expert Oversight Group and one optimal design
workshop have agreed the focus of this West Essex MSK
programme as:
Common themes around prevention, wider support
options, shared decision making, medicines optimisation
and support following discharge.
Main areas:
o
Back Pain
o
Rheumatoid Arthritis
o
Osteoarthritis
o
Osteoporosis
Next Steps for Cardiovascular Programme
• Initial data analysis has shown the majority of
opportunity within Coronary Heart Disease.
• CHD Optimum Pathway Design Workshops
scheduled for the 8th and 22nd September
2016.
Any Questions?...........